Mary E. Theisen-Goodvich, PHD
NPI 1003988528ActiveIndividual· Psychologist, Clinical· Ann Arbor, MI
Psychologist, Clinical (PHD) in Ann Arbor, Michigan, trained at University of Michigan Medical School (class of 1999). Medicare paid $12,540 for services to 41 patients in 2024.
Overview
| NPI | 1003988528 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Nov 14, 2006 |
| Last updated in NPPES | Feb 28, 2020 |
| Certified by provider | Feb 28, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 6301009981 | MI |
| Psychologist | 103T00000X | 6301009981 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 41 |
|---|---|
| Services billed | 171 across 5 procedure codes |
| Paid by Medicare | $12,540 |
Education and affiliations
| Medical school | University of Michigan Medical School |
|---|---|
| Graduation year | 1999 |
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Regents of the University of MichiganAnn Arbor, MI · 3,346 clinicians
Hospital affiliation
- University of Michigan Health SystemAnn Arbor, MI
Other clinical psychologists in Ann Arbor
- 1003639634
- 1003679853
- 1023721511
- 1033803283
- 1043513450
- 1043749393
- 1053315960
- 1053925685
- 1063749570
- 1063991594
- 1083627848
- 1093860942
All 474 clinical psychologists in Ann Arbor · All clinical psychologists in Michigan